A patient with a cervical spine fracture has been fitted with a halo vest and is to ambulate for the first time today. What is the priority nursing action?
A) Put rubber corks on the ends of the pins
B) Pad the edges of the vest to prevent chafing
C) Have the patient sit on the side of the bed for several minutes
D) Teach about loss of peripheral vision
C
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On the Celsius scale, water freezes at 0°C and boils at 100°C. In addition, body temperature is
98.6°C. Indicate whether the statement is true or false
A 3-year-old girl is very dissatisfied with the amount of food that she has been given and loudly requests to have more food on her plate. Taking into consideration her stage of growth and development, what might be helpful for this child?
A) The same portion of food were put on a smaller plate B) The same portion of food were put on a larger plate C) She is told that her behavior is irritating D) She is told that she will get her more food at the next meal
A nurse is teaching a patient who will undergo chemotherapy with fluorouracil (Adrucil) to treat a solid tumor. Which statement by the patient indicates understanding of this chemotherapeutic agent's actions?
a. "Fluorouracil acts to deprive cancer cells of thymidylate needed to make DNA." b. "Fluorouracil causes accumulation of adenosine, which inhibits DNA synthesis." c. "Fluorouracil disrupts the biosynthesis of nucleic acids." d. "Fluorouracil inhibits DNA polymerase in cancer cells."
An advanced practice nurse has identified a nursing diagnosis of impaired social interaction for a client with obsessive-compulsive disorder. An appropriate outcome for this problem would be that the client will:
1. Convince peers to join in the performance of the rituals 2. Speak of the baselessness of her obsessions in group 3. Avoid obsessing while interacting with the nurse 4. Describe increasing control over intrusive thoughts